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Pain Management Lidocaine and Marcaine

  1. Default Pain Management Lidocaine and Marcaine
    Exam Training Packages
    1)Is Lidocaine or Marcaine reimbursed if billed with an ESI or joint injection?
    2) Is Lidocaine mixed with steriods or any other medications given with an ESI or joint injection reimbursed?

  2. #2
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    No. CMS guildelines considers the use of lidocaine, marcaine, procaine, xylocaine or any other "caine" as part of the surgical service & is not separately billable when used as a local anesthetic. Most payers follow the same guideline.
    Evangelina Frohna, CPC, CEMC

  3. Default
    Quote Originally Posted by efrohna View Post
    No. CMS guildelines considers the use of lidocaine, marcaine, procaine, xylocaine or any other "caine" as part of the surgical service & is not separately billable when used as a local anesthetic. Most payers follow the same guideline.
    In a case where it is being mixed with something else and not being used as a local anesthetic what is your thoughts?

  4. #4
    Location
    Denver Colorado
    Posts
    279
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    It is being used as a local anesthetic to decrease the burning / discomfort associated with the steroid injection.

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